• Journal of Chest Surgery
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• 제29권3호
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• pp.297-302
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• 1996

1989년 1월부터 1995년 7월까지 상행대동맥 박리환자 18례에 대한 교정수술을 시 행하였다. 남여비는 9 : 9였으며 연령분포는 41세부터 68세까지로 53.8세 였다. 급성박리가 13례, 만성박리가 5례 였다. 수술방법은 급성 13례에서 상행대동맥만 치환한 경우가 6례, 상행대동맥과 대동맥궁 일부를 치환 한 례가 3례, 상행대동맥과 대동맥궁 전부를 치환한 례가 1례, Bentall 술식이 1례, Bentall 술식 에 대동맥 궁 전부를 치환한 례가 1례 있었다. 만성 5례중 Bentall 술식을 시행한 경우가 3례, 상행대동맥을 치환한 경우가 1례, 상행대동맥 에 대동맥궁 일부를 치환한 례가 1례 있었다. 대동맥궁 교정수술을 시행한 환자 7례중 4례에서 선택적 뇌관류법을 시행하였고 3례에서 완전 순환차단법을 시행하였다. 18례중 급성에 서만 4례 사망하여 수술사망율은 22.2%였다. 사망원인은 출혈이 2례, 좌심실부전이 2례였다. 생존환자 14례를 술후 평균 17개월 외래추적하였으며 이중 1례에서 재수술후 2개월째 패혈증으로 사망하였고 나머지 환자는 양호한 편이다.

• Journal of Gastric Cancer
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• 제11권1호
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• pp.38-45
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• 2011

Purpose: Bone metastasis from stomach cancer occurs only rarely and it is known to have a very poor prognosis. This study examined the clinical characteristics and prognosis of patients who were diagnosed with stomach cancer and bone metastasis. Materials and Methods: The subjects were 19 patients who were diagnosed with stomach cancer at Hanyang University Medical Center from June 1992 to August 2010 and they also had bone metastasis. The survival rate according to many clinicopathologic factors was retrospectively analyzed. Results: 11 patients out of 18 patients (61%) who received an operation were in stage IV and the most common bone metastasis location was the spine. Bone scintigraphy was mostly used for diagnosing bone metastasis and PET-CT and magnetic resonance imaging were used singly or together. The serum alkaline phosphatase at the time of diagnosis had increased in 12 cases and there were clinical symptoms (bone pain) in 16 cases. Treatment was given to 14 cases and it was mostly radiotherapy. There were 2 cases of discovering bone metastasis at the time of diagnosing stomach cancer. The interval after operation to the time of diagnosing bone metastasis for the 18 cases that received a stomach cancer operation was on average $14.9{\pm}17.3$ months and the period until death after the diagnosis of bone metastasis was on average $3.8{\pm}2.6$ months. As a result of univariate survival rate analysis, the group that was treated for bone metastasis had a significantly better survival period when the bone metastasis was singular rather than multiple, as compared to the non-treatment group, yet both factors were not independent prognosis factors on multivariate survival analysis. Conclusions: An examination to confirm the status of bone metastasis when conducting a radio-tracer test after the initial diagnosis and also after an operation is needed for stomach cancer patients, and bone scintigraphy is the most helpfully modality. Making the diagnosis at the early stage and suitable treatments are expected to enhance the survival rate and improve the quality of life even for the patients with bone metastasis.

• 대한방사선기술학회지:방사선기술과학
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• 제8권2호
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• pp.29-45
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• 1985

Computed Tomography Scanner (CT) is highly expensive in operation as well as purchasing. That reason may cause not only to increase the burden of patients but also to waste the capital resources leading to financial difficulties. However the numbers of CT installed throughout the country is increasing, because of efficiency in medical care, patient's concern, competitions among the hospitals within the same area. In the non-Metropolitan area the scanners were expected to be less utilized and less profitable. Nine hospitals equipped with the CT were studied on the utilization of that equipment during the period from November 1984 to February 1985 in non-Metropolitan area and break-even point in one hospital was analyzed for estimating profitabilities. The results were as follows ; 1. Among those nine hospitals, four hospitals had less than 400 beds, which is one of the restrictive minimum standards on the installation of Whole-body Computed Tomography Scanner. 2. The operating time during the normal operation period was longer than those of any other studies, but the accumulated down time was also longer than those of any other studies. The average number of scanning per week for each CT was 45, while the estimated number of for the break-even point was 56.7 cases. 3. When the downtime was excluded in calculating the average operation would be much closer to the cases for the break-even point. Therefore the break-down of the equipment was to be a main cause of the low profitability. 4. The average scanning rate for head area was 33.6%, however three of the nine hospitals showed about 20%. 5. If scanning ratio for the body parts excepting head was increased, the number of scanning for the break-even point would be diminished. 6. The small size hospital especially located near the Metropolitan area showed largest loss in the CT operation. In purchasing the highly expensive equipments in hospitals, demand should be taken into account and planning is recommended.

• 대한족부족관절학회지
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• 제15권2호
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• pp.92-96
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• 2011

Purpose: To compare the result of endoscopic versus open bursectomy in lateral malleolar bursitis, which was not treated conservatively. Materials and Methods: Between January 2008 and October 2009, We divided to two groups, endoscopy (group A) 11 cases, open bursectomy (group B) 11 cases. The average follow up period was 15 months (range, 12 to 18), the mean age was 66 (range, 38 to 79). We compared patients satisfaction, complete healing time, operation time, complications and recurrence. Results: Group A had significant difference in terms of the clinical satisfactions, complete healing time. operation time, complications. Group A showed satisfaction (excellent 9, good 2), mean complete healing time 11.9 (8~14) days, operation time 37 (25~45) minutes, 1 case recur. Group B showed satisfaction (excellent 4, good 3, fair 1, poor 3), complete healing time 32.7 (14~98) days, operation time 22 (18~26) minutes. complication were one case of skin necrosis, one case of wound dehiscence, two cases of superficial peroneal nerve injury, no recurrence. Significant advantages of endoscopic method include lower morbidity and rapid wound healing period (p<0.05). Conclusion: Endoscopic resection of the lateral malleolar bursitis is a promising technique and shows favourable results compared to the open resection. Significant advantages of this method include lower morbidiy and rapid wound healing.

• 대한수의학회지
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• 제20권2호
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• pp.127-134
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• 1980

This study was performed to obtain an accurate methods of diagnosis in early stage of traumatic pericarditis and myocarditis in ruminants. Korean native goats were used as experimental animal and traumatic pericarditis and myocarditis were induced by surgical intervention. The changes in clinical signs, hematological values, blood enzymes and electrocardigrams were observed for 14 days after operation. The results obtained were as follows: 1. Body temperature in experimental group of induced traumatic pericarditis and myocarditis was slightly increased than control group that was rumenotomized. Heart rate was increased in both groups but the increased rate was noticed remarkably in experimental group. There was no change in respiratory rate in experimental and control group. 2. Total leucocytes counts and neutrophil percentage maintained higher level after operation and lymphocytes percentage noticed reversed proportion to neutrophil in both groups. 3. Serum total protein concentration and alkaline phosphatase activities after operation showed a little lower levels than these values prior to operation. Serum glutamic oxaloacetic transaminase and lactic dehydrogenase activities in control group showed slight increase through all the experimental period, while in experimental group these activities were markedly elevated and an increase in serum lactic dehydrogenase activities was more remarkable comparing to serum glutamic oxaloacetic transaminase. 4. Electrocardiograms in control group did not show any abnormalities except for slight increase in heart rate. In experimental group the amplitude of QRS complex was increased in duration of experimental period. The transference from QRS complex to T wave was uncertain and S-T segment moved upward obliquely through electrical zero line.

• 한국항해항만학회지
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• 제45권3호
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• pp.87-94
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• 2021

국제해사기구의 연료유 황 함유량 제한 등, 세계적으로 강화되고 있는 환경규제로 LNG를 선박 연료로 사용하는 연구 및 사업이 활발히 진행되고 있다. 본 연구에서는 기본설계 되어 있는 부유식 벙커링 터미널(FLBT, Floating LNG bunkering terminal)을 대상으로, STS LNG 하역 작업을 위해 접안 하는 과정을 수치 시뮬레이션으로 평가하였다. 수치해석에서는 예인선이 대상선박을 밀 경우 이를 가상의 펜더로 가정하였으며, 당길 때는 HMPE 로프 특성을 적용하였다. 해석에는 파랑, 조류, 바람 1년 재현 확률의 해상조건을 적용하였다. 수치모델은 선행 모형시험 결과로부터 조정되어 정확한 결과를 얻을 수 있도록 하였다. 해석 결과 LNG선은 대부분의 1년 환경조건에서 안전한 접안이 가능하였다. 파랑 방향에 따라 안정성의 차이가 큼으로 FLBT의 Heading control 기능을 적용하여 횡파를 피한다면 더욱 안정적인 운용이 가능할 것이다.

• 상하수도학회지
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• 제34권6호
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• pp.463-471
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• 2020

A 1,000 ㎥/d DAF(dissolved air flotation) pilot plant was installed to evaluate the performance of the floating process using the Nakdong River. Efficiency of various DAF operations under different conditions, such as hydraulic loading rate, coagulant concentration was evaluated in the current research. The operation conditions were evaluated, based on the removal or turbidity, TOC(total organic carbon), THMFP(trihalomethane formation potential), Mn(manganese), and Al(aluminum). Also, particle size analysis of treated water by DAF was performed to examine the characteristics of particles existing in the treated water. The turbidity removal was higher than 90%, and it could be operated at 0.5 NTU or less, which is suitable for the drinking water quality standard. Turbidity, TOC, and THMFP resulted in stable water quality when replacing the coagulant from alum to PAC(poly aluminum chloride). A 100% removal of Chl-a was recorded during the summer period of the DAF operations. Mn removal was not as effective as where the removal did not satisfy the water quality standards for the majority of the operation period. Hydraulic loading of 10 m/h, and coagulant concentrations of 40 mg/L was determined to be the optimal operating conditions for turbidity and TOC removal. When the coagulant concentration increases, the Al concentration of the DAF treated water also increases, so coagulant injection control is required according to the raw water quality. Particle size distribution results indicated that particles larger than 25 ㎛ showed higher removal rates than smaller particles. The total particel count in the treated water was 2,214.7 counts/ml under the operation conditions of 10 m/h of hydraulic loading rate and coagulant concentrations of 60 mg/L.

• 한국농공학회논문집
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• 제63권4호
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• pp.97-104
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• 2021

Despite the practical limitations of calculating the amount of inflow and supply related to the operation of agricultural reservoirs, the role of agricultural reservoirs is gradually being emphasized. In particular, as interest in disaster safety has increased, the demand for preliminary measures to prepare for disasters has been rising, for instance, pre-discharging agricultural reservoirs for flood control. The aim of this study is to analyze the plans for the flood season reservoir operation considering pre-discharge period and water level limit. Accordingly, we optimized the simulation of daily storage using the ratio correction factor (RCFs) and analyzed the amount of inflow and supply using K-HAS. In addition we developed the drought determination coefficient (k) as a indicator of water availability and applied it for supplementing the risk level criteria in the Drought Crisis Response Manual. The results showed that it would be difficult to set the water level limit during the flood period in the situation of little water supply for flood control in agricultural reservoirs. Therefore, it is necessary to operate the reservoir management regulations after measures such as securing additional storage water are established in the future.

• 경영과정보연구
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• 제17권
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• pp.107-133
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• 2005

The purpose of this study was to analyze a trend of profitability classified by characteristics of hospitals and to analyze related factors. The data for this study were derived from survey material conducted by the Korean Hospital Association on 33 hospitals in Korea between 1993 and 2002. Profitability was measured in the aspect of investment profit rate and operation profit rate with net profit to total assets, normal profit to total assets and operating margin to gross revenue as dependent variables. Independent variables were classified by general factors (ownership, number of beds, period of establishment, region), financial factors (total asset turnover, liabilities to total assets, current ratio, fixed ratio, inventories turnover, personnel costs per operation profit, material costs per operation profits), composition of manpower and facilities(personnel and area per beds), productivity index(the number of daily patients per medical doctor, the number of daily patients per nurse), the score of quality assurance activities. First, Concerning the specialists per beds or area per beds and profitability of hospitals there was not statistically significant. Second, Those hospitals having the most daily patients per nurse had significantly higher profitability than the others, but the number of daily patients per medical doctor had little effect on the profitability. Thirds, Those hospitals having a higher proportion total asset turnover tended to show significantly higher profitability compared to other hospitals, but the liabilities to total assets and liquidity ratio had a little difference to the profitability. Those hospitals having a higher proportion personnel costs per operation profit and material costs per operation profits tended to show significantly lower hospital profitability compared to other hospitals. Fourth, In regression analysis, hospital profitability had negative relationship with personnel costs per operation profit or material costs per operation profits. While it had positive relationship with total asset turnover, the number of daily patients per nurse. In conclusion, private hospitals had higher profitability than that of public hospitals. Though factors related to profitability of hospital were different according to ownership, it is important for securing appropriate profitability by operating appropriate number of nurse, raising total asset turnover, and reducing personnel costs, material costs per operation profits. This study can be used as a baseline data for planning of hospital management. But the study may be limited in that the results cannot be generalized due to its small sample size. However, this longitudinal observation of 33 hospitals over ten year period has significant merit alone.

• Maxillofacial Plastic and Reconstructive Surgery
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• 제35권4호
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• pp.211-220
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• 2013

Purpose: The purpose of this study was to compare the changes in the pharyngeal airway space, tongue and hyoid bone positions according to the orthognathic surgical methods of mandibular prognathism. Methods: The subjects included 30 patients (16 males, 14 females) with the skeletal class III malocclusion. Group 1 (10 patients) underwent bilateral sagittal split ramus osteotomy (BSSRO) only; group 2 (10 patients) underwent BSSRO with genioplasty; and group 3 (10 patients) underwent BSSRO, Le Fort I osteotomy. We measured the lines between the selected upper air way, hyoid bone and tongue landmarks on the lateral cephalometric x-ray films of skeletal class III. The measurements were made preoperation, within 1 week after the operation, 3~6 months after the operation and 1 year after the operation. We compared and analyzed the measurements with matched paired t-test and independent samples t-test. Results: There were no postoperative changes in the nasopharyngeal airway space in group 3. The measurements of group 3 also increased during the follow-up period as compared to the preoperative measurements. In group 1, 2 and 3, the immediate postoperative oropharyngeal and hypopharyngeal airway spaces were decreased. In the following period, the hypopharyngeal airway space returned to the preoperative positions, but the oropharyngeal airway space was not significantly changed. The upper and lower tongue was posteriorly repositioned immediately after the surgery. During the follow-up period, the lower tongue position returned to the preoperative position, and the upper tongue position was not significantly changed. Immediately after the surgery, the B point was moved to the posterior position, and a slight anterior advancement was found in the follow-up period. Conclusion: Patients who received the mandibular setback surgery showed a decrease in the posterior airway space, and those who underwent maxillary advancement showed a significant increase of the nasopharyngeal airway space, which remained stable during the evaluation period. The change of the airway space, position of the hyoid bone and tongue did not differ according to the presence or absence of genioplasty.